Home Enrichment Webinars Is the Swallow Normal? Ask, What Else-From Interview through Documentation

Is the Swallow Normal? Ask, What Else-From Interview through Documentation




AUDIENCE: Graduate students to seasoned clinicians.

Description: You performed an instrumental evaluation, and you report that the person has a normal oropharyngeal swallow. You have done your job, right? Maybe not! Ask yourself: did I do a thorough intake, and did I document all the symptoms and impacts on quality of life? Did I conduct a thorough exam of the oropharyngeal and pharyngoesophageal phases? Did I consider all the related issues and complaints that affect the person’s intake, nutrition/hydration, weight, ability to swallow medications, and ability to enjoy eating without stress or fear? Did I communicate that clearly and collaborate with the appropriate professionals to make a contribution to this person’s health and wellness? This webinar will explore how we can do more for those with seemingly “normal” swallowing, whether it be globus, muscle tension dysphagia, or potentially a missed finding due to a brief examination.

Learning Objectives

1. Explain what is needed for a thorough case history intake and interview process.
2. Discuss how a seemingly normal videofluoroscopic swallow study could be missing something if the clinician does not perform a thorough examination.
3. List related conditions that the thorough instrumental examination may uncover or consider when the person complains of globus, tightness, and food avoidances.
4. Discuss how cases of “normal” oropharyngeal and pharyngoesophageal swallowing still require good documentation, biofeedback, education, counseling, and appropriate referrals.


Karen Sheffler graduated from the University of Wisconsin-Madison in 1995 with a master’s degree in Speech-Language Pathology and initially worked in skilled nursing facilities and rehabilitation centers, but since 1999, she has worked in acute care. She obtained her BCS-S in August of 2012. She founded SwallowStudy.com in 2014 as a dysphagia resource for professionals and people with difficulty swallowing. She has been an IDDSI Champion since 2014 and now is an active member of the United States IDDSI Reference Group (USIRG), which fosters IDDSI implementation around the nation. She is the co-chair of the Public Relations and Communication Committee for the American Board of Swallowing and Swallowing Disorders (AB-SSD). She is an 8-time recipient of ASHA’s Award for Continuing Education. In 2019, she received the Hormel Health Lab’s Health Hero Award, and in 2021, she was awarded the Kalynn Quinn Hensely Head & Neck Laryngology Lectureship.

This webinar is 1 hour and available for Professional Development Hours (PDHs) – formerly known as Certification Maintenance Hours (CMHs). Certificate of Completion is available upon request at the end of the webinar. For More information on Professional Development Hours: https://www.asha.org/certification/factdef/


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